When It Rains, It Sure Does Pour. Sorry to Be Awol Posted: 11-06-07 17:32pm
When it rains it sure does pour doesn't
it. Been AWOL, cause as Rich knowns only
too well when it happens, the computer
decided to croak out on Friday night. No
warning, no nothing, just turned it on and
up comes that "safe mode" thing.
Then the keyboard wouldn't work on the
stupid laptop from dell.
Then we find it wouldn't load in safe mode
either.
After hours of hubby trying to fix it, I
just went to bed.
Saturday, he's using the desk top and I
told him to be careful and not have it on
the that big nor'easter, but he wouldn't
listen. (you know those engineer types
that know everything about computers,
except the common sense things).
Warned him that big old tree out on the
street is more than half dead and the town
won't take it down till it comes down,
well if it goes in these horrible winds it
gonna take the phone and power lines with
it and zap the computer cause you got it
on.
Not 10 minutes later, presto, down comes
the tree, the power lines and the phone
lines and the computer got a surge and
that's the end of that one too.
So no computer, till today. Should have
replaced that old dell laptop long ago.
It was my daughters old defective lemon
from Dell that we got her in 2001 before
she left for college. Everything on it
had been replaced at minimum of 3 times
under the exetended warranty, except for
the hard drive. But hubby wanted to just
plug along with what was left of it. Well
we plugged along till now. The hard
drives is on it's last legs and that's the
problem. At least the stuff he didn't
back up can still be retrieved on it.
So everyone, I'm now typing on my brand
new Mac Pro book laptop. Up and running
and just love this delightful computer,
never mind the fact that it works.
It's quiet as a church mouse, no noise
what so ever while it's running. no fan
noise, no start up noise, no nothing, fast
as can be and no microsoft to deal with.
Means no virus, no spy ware, none of that
stuff.
Won't discuss the price, trust me, lots
more than a PC, but every PC we've owned
has been a problem, but the one and only
Mac desk top we've had for 9 years, just
added memory and upgrades to it and have
never once had a conversation with apple
computer about a problem, nothing been
replaced on it except the hard drive,
because we expanded the size.
Daughter just got a mac pro book a few
months ago and is in love with it too.
OK enough about the advertising for apple
computer.
I'm back and will start to answer some
posts in another posting
Fran
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littleonefb
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Mj, Been Thinking of You And No Computer Posted: 11-06-07 17:36pm
MJ, I too know you won't see this till
after your surgery. My prayers have been
with you all day, and by the time you see
this post, you will be able to tell us how
"the first days of your new life are
doing".
Patiently waiting to hear all the details
of how it feels to be pain free.
Fran
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littleonefb
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Dave Posted: 11-06-07 17:38pm
Sure sounds like you made the right
decision for yourself. So glad to hear
that you are doing so well post surgery.
As the docs say "walking, walking, walking
is the real key to recovery. Just don't
overdo it.
Fran
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littleonefb
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Carrieanne Posted: 11-06-07 17:40pm
Sounds like you are really progressing now
after such a rough go of it.
Glad to hear the PT is the next step for
you. Hopefully you won't need more
surgery.
Fran
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littleonefb
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Marie Posted: 11-06-07 18:11pm
"D" day is fast approaching. Hopefully
nothing from those tests have made any
changes to that date.
Keep my e-mail handy and just e-mail any
time. Have watched to hear from you and
haven't seen any from you yet. Did you
get my e-mail with my e-mail addy?
Now, for some of your questions.
There are some BP meds that can cause some
risks with surgery, things like increase
you clotting time and hence cause more
bleeding than should be happening. No
doupt you are on one of those that may
cause that kind of problem.
Same with the OTC herbal meds, vitamins
and supplements. Vit E is one of them
that can interferre with the clotting as
well and all the Nsaids, ie ibuprophen as
well, increase bleeding and very likely
prevent the fusion of any kind from
taking.
You might very well find that the IV pump
thing will work very well for you,
especially when you have the control, so
to speak. It will let you dispence the
amount of pain med, up to a certain
amount, whenever you need it. I've seen
it work for people that usually don't have
good success with just plain old IV in the
arm delivery.
Interesting that the doc's nurse never saw
any gluteal bruising or swelling. I know
several people who have had the same
results as me and with different doctors
as well.
A thought, since my bruising and swelling
came on gradually over the first few days
post-op and was full blown on day 3, could
it be that the nurse didn't see it and by
the time a post op visit came, the
swelling and bruising was gone and no one
told her about it?
My own doc doesn't see that much of it
either, as his patients usually are sent
home from the hospital either the same
day or within a few days.
Brace or no brace, that is the question.
Well, must be that it depends on the
stability of your spine after the surgery
and the doc makes his decision then.
Makes sense, I think.
Marie, keep good thoughts and remember
what I say, "when you wake up in the
recover, it's the first moments you are
aware of the new life you will have
without the pain."
Keep us posted on how you are doing. Hey,
some of the hospitals around here, the big
teaching ones, now have wifi and plug in
internet access for their patients to use
their laptops with. Maybe you will have
the same thing?
Good luck,
Fran
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mj57
New User, Becoming EHEALTHy
Joined: 19 Aug 2007 Posts: 22 Location: , USA
Good Morning All Posted: 11-07-07 07:48am
Everything went great yesterday. Was home
by 12:30.......went in at 7:30.
I could not express my feeling in
recovery.......I just broke down.......to
not feel the pain I have felt in my arms
neck and shoulders for over a year was
overwhelming to me. They thought
something was wrong.......but I quickly
told them nooooo noooo.......just give me
a moment......they understood.
I want to Thank all of you for your many
prayers and encouragement. I truly felt
all of them yesterday.
I go today to see Doctor and get bandage
off. I've been walking, icing and neck
exercises. We will discuss the surgery
for L4-5 and S-1 today. (that has
magnified) have it on the books for Nov.
12.
I will go for now and will touch base with
you all later.
Marie B. You are in my prayers on
your upcoming surgery.
Fran So glad to see you back
here
mj.......
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Carrianne
Experienced User , Rather EHEALTHy
Joined: 09 Aug 2007 Posts: 107 Location: Tampa, FL
Amen! Posted: 11-07-07 08:22am
MJ,
Such wonderful news, as we knew it would
be!!! Please let us know how your appt.
today goes and if your lumbar surgery is a
definite. Lots of prayers still with
you!!!
Marie,
I hope your surgery is nothing but
positive as well!! You're in my prayers as
you prepare for your surgery and we'll be
sending lots more of them your way on
Friday.
I have a post it of surgery dates so
whenever I see it, I'm thining of you all
who have had and are facing surgery.
Dave,
How is your recovery going? Hope
everything is great and you are pain
free!
God bless,
Carrianne
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Carol Lumbar
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Wow! Posted: 11-07-07 08:39am
What a great way to start the day! Free
of pain! I thought I'd check in early and
I'm glad I did! Already good news from MJ
and we're still rooting for Marie B.
Great inspiration! Have a great week and
rest!
Take care
C
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Marie B.
Experienced User , Rather EHEALTHy
Joined: 28 Aug 2007 Posts: 231 Location: Ohio
Sweetie Cat! Posted: 11-07-07 13:37pm
I just love that sweetie cat with his
earphones and bouncing head to what is
obviously good sounding music, LSG. I
have two cats. The male adopted us when
he was a baby and I call him CAT. There
is a female also who showed up on our
doorstep when she was a little older. Her
name is Tyrant. We love cats, dogs too
and we even have had little white mice
like Stuart Little.
Just love those pictures.
O.K Now its down to business. All of my
tests came back Good! Nothing will change
my OR date unless the surgeon himself
comes down with a problem.
My PMC physician and his office girls have
been real peaches getting me thorugh all
of the paper work and numbers, although he
did give me a little elbow when he
complained that I was going so far north
(70 miles) for my surgery. He said if
anything happens and he has to run that
distance instead of the 3 miles to our
regular hospital, he will remind me of it
forever. I, personally, was glad to know
that he was even considering taking a trip
to a distance hospital just to make sure I
was O.K. if I had any difficulties. I
have a great PMC physician.
Talk about shoes. I just gave a
Naturalizer store in Pittsburgh enough
business for shoes that I won't have to
buy anymore for at least 6 months. Rich,
right after shoes, women like to have
purses; ones that match the shoes, of
course.
Isn't this wonderful? Everyone coming out
of spinal surgery in good shape.
MJ. I hope the next surgery coming up for
you will turn out as successful as your
first one. I think people like you and
Carrianne who leave one operation all the
while knowing another was on your horizon
are very brave. Your courage gives me
courage.
I can just imagine the day of my surgery.
I will probably say to anesthesia, No
trainees permitted. I'll say to the scrub
nurses " make sure your sterile technique
is flawless, no infections needed, and I
already told my surgeon that I don't want
to be put to sleep until I see his face
hanging over mine right before I close my
eyes. I told him I wanted to say one last
time to him....L4 and L5. No
instrumentation. I'm a little 'ol lady.
I can get away with saying anything.
For some reason, when I am communicating
with all of these various nurses, doctors
and the zillions of assistants, they seem
to smile at my constant organization of
papers, duplicate copies of everything,
questioning every detail, know everyone by
first name and never forget a face or
their position. In today's health world,
the hi- tech has taken over too much of
the person to person touch. So if I can
add a little more warmth to the cold world
for others, that's a good thing.
Fran, Anything is possible when surgery
is involved. I always comment to doctors
about my height. I will say,, "Do you
realize that you are giving me the same
dose as you would a person 6ft tall would
get." Believe me, the docs have rethought
some med doses after I say that and they
give me more flexibility in the dosage
when writing out an Rx. If I have any
swelling,in the bum, I'll let you know.
Maybe I should get 3 big ice packs. While
I am icing the lumbar region, I'll put the
other two on the gluteous maximus cinnemon
bun muscles. I'll get a jump on any
swelling.
I am going to have my own brace in my
suitcase when I go to the hospital just in
case. Of course it isn't a surgical
brace. I have large waist cinchers that
fit me better then braces do. I'll see
how things go in the begining and have all
options covered. My head is tired of
trying to make sure all things are covered
from home supplies when I'm gone to when I
get back. Believe me, when the
anesthetist says, "goodnight" I'll be
ready to go to sleep.
So many of you have said that once you
were awake fully, you had no pain. I am
thinking that I am going to have pain.
You can't cut bone, eg. Laminectomy and
not have pain post op. I just don't know
what I will feel like immediately after
surgery. Oh, I don't think I'll be
communicating on the web as quickly as the
other people have. Since I am going into
a hospital that I don't know too much
about and which is quite a distance from
home, I'm not sure what is available
there.
If you don't hear from me from Friday
through Monday, know that it will be
because I won't have internet access. I
don't have a pc. I must be the only
person married to an engineer who prefers
to be away from a computer and a cell
phone when not at work. He won't buy me a
pc. because he knows as soon as it appears
he will be tempted to use it.
O.K. I am now going to go see what to
take along with me to the hospital.
Housecoat and slippers are on my list. Of
course I have to decide if I want to take
all of my hair supplies and cosmetics.
Not only do I not like to scream in
public, I want to look my best while
yipping and yapping if I have pain.
Thanks everyone for all of your support!
Marie B.
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littleonefb
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Marie Posted: 11-07-07 18:57pm
I just love this comment from you
"O.K. I am now going to go see what to
take along with me to the hospital.
Housecoat and slippers are on my list. Of
course I have to decide if I want to take
all of my hair supplies and cosmetics. Not
only do I not like to scream in public, I
want to look my best while yipping and
yapping if I have pain. "
My hubby is still laughing and asking if
we are related and he doesn't know it.
You see, when I went in for my surgery I
couldn't find my dumb hairbrush. Searched
everywhere and finally ended up going
through my drawers to find the only other
one I had. The hairbrush my hubby got me
on our honeymoon that was 31 years ago.
Anyway, when I was ready to leave the
hospital, I accidentally left that
hairbrush in the bathroom and didn't
realize it till we had been driving for 10
minutes. I got hysterical about leaving
it. Hubby is going, it's just a stupid
hairbrush, and I'm crying it's the one you
gave me, blah, blah, blah.
That sweetheart turned the car around and
sped back to the hospital, ran in to the
floor and there in the bathroom was the
"stupid hairbrush" I was crying about.
the blue hairbrush, with mickey and minnie
mouse on it that we got a disneyworld on
our honeymoon.
The staff thought we where both nuts until
he explained why it was so important.
Then they thought he was the most angelic,
romantic angel in the world. What an ego
boost he got that night.
The other things he was laughing about
where our heights and the med problems.
Things like the regular dose of anesthesia
can leave us out cold for many extra
hours. The dose of meds to help with pain
turn us into sleeping zombies and, as my
daughter calls it "loopey idiots that
can't stand up straight", and we have to
remind the docs about us.
The organization too. It freaks my hubby
out to see how organized I can be. Even
when things look like a mess to everyone
else, I can find anything you want in a
matter of seconds in that supposed
"mess".
As for waking up with no pain after my
surgery, I should explain that the "no
Pain" was no pain in the leg, no burning
numbness and tingling. That's not to say
that I didn't feel any pain from the
incision after the initial pain med that
was in my IV wore off. In my case, that
pain was nothing compared to the crippling
pain I had in my leg.
Can't tell you about fusions and pain
though, but my guess is that without the
instuments being used in your surgery, the
pain will be less than if the doc used any
of it.
My personal experience is that in today's
world, medical staff either appreciate
knowledgable patients or they hate them.
If you have a doc that appreciates it, you
will find that he works with staff that
feel the same way.
It is a relaxing feeling for all when
everyone is on board and working together
for the end result.
Oh, the one other reason hubby wonders if
we are related, is your attitude in the
OR.
There I was on a gurney in the OR, hooked
up with IV stuff and the anesthesiologist
ready to turn the sleep stuff on and I was
yaking away and telling her wait a minute.
What is that thing on the OR table, I'm
going on that, How the heck am I supposed
to get on it. Where's the doctor, and his
staff. Got to see him in here scrubbed
and ready to go, before you knock me out.
Remember I am a little person not even 5
feet tall.
Next thing I knew, the doc is standing
over me, scrubbed, and ready to go to
work, along with the nurses and his staff
and I told him.
"remember now, NO SCREW UPS PLEASE, DO
THINGS RIGHT, I WANT TO RETURN TO THE
LIVING AGAIN AND ENJOY LIFE. AND I'M
GOING HOME TONIGHT."
Lucky his mask was on and all i could see
was his rolling eyes as he told the
anesthesiologist, "Hurry up and knock her
out before I do it with some piece of
equipment in here. As for you Mrs.
Patient, shut up all ready and let;s get
this show on the road and I'm betting you
$5 bucks and 2 co-pays that you will be
going home in the morning, not tonight.
Deal?"
I never got to answer him as I was out
like a light.
But, I had $5 bucks in my hand when I went
home that night, and never paid 2 co-pays
after the surgery.
Ice on those butt muscles sounds like a
good idea, better safe than sorry, is my
motto.
Your attitude sounds great, good and
positive and all your docs sound great and
you have lots of trust in them. That's
half the battle right therre.
So Marie, my prayers are with you and, if
you can, check in with us before you go to
the hospital.
We will all look forward to hearing from
you as soon as you can post and give us
all the juicy details of your talk with
the staff in the OR and how you are
doing.
Fran
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RichT
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Wonderful!!! Posted: 11-08-07 19:42pm
Hello MJ,
FANTASTIC that your surgery went well, and
ESPECIALLY that the pain in your arms,
neck and shoulders is gone.
I hope and pray that your surgery on
November 12th goes as well.
Thanks so much for your GREAT update.
Look forward to your next update.
RichT
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RichT
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Wish You the Best!!! Posted: 11-08-07 19:51pm
Hello Marie,
Hope I'm writing this before you leave for
your surgery. If not, at least you know
my thoughts and prayers are with you.
Thanks so much for sharing.
Yep, that is how it goes - First shoes to
match a dress, then the purse, and then
you decide the shoes really don't match
the dress as well as you thought it did so
its out to buy a new dress, and around and
around you go. LOL
RichT
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RichT
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Posted: 11-08-07 19:59pm
Hello Fran,
Thanks for sharing your most vivid
stories.
What a computer story - Two computers, a
tree, electric lines and telphone lines
ALL DOWN!!! Glad you have your computer.
I assume the electricity and telephone are
back on. Thank goodness the tree didn't
hit your house.
My son gives ole dad a hard time about
having a PC rather than a Mac. Thank
goodness he is still willing to help me
when troubles arise.
An interesting story about your invaluable
hair brush. Interesting how there are
those simple things that have very special
meaning because of the story they keep on
sharing.
RichT
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RichT
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That Injection Posted: 11-08-07 20:20pm
Hello All,
Today (9 am) I had a second injection. My
doc surprised me by sticking that needle
right up my tailbone. Glad he didn't tell
me earlier. Actually was less pain than
my first injection.
Slept most of the afternoon away (head was
"fuzzy").
At this point I am cautiously optimistic
as the pain is much less. Tomorrow the
ole back gets tested when I"m out in our
gardens planting two azaleas, etc.
I'm slowly learning a bit about epidural
"cortisone" injections - First, not
cortisone at all. From a bit a reading
the body makes cortisone itself as an
anti-inflammatory. Unfortuanately it has
a short life. SOOOOoo man comes along and
synthesizes an anti-inflammatory compound
called triamcinolone acetonide which has a
longer life. The trade name for what I
had injected was Kenalog. I heard the
name mentioned during my visit to Dr. K
three weeks ago so I did a bit of
checking. Yep, some not so good side
effects. Found out yesterday my doc used
Kenalog for my first injection. That made
me feel much better as I had ZERO side
effects. Today I found out that very same
compound is in the Nasacort that I use
every evening and have done so for years.
And yet the docs say "cortisone"
injection.
Okay Fran, do let me know if I have erred
in the above as I surely don't want to
"speak" incorrectly.
Just thought I'd share a bit of info. MAN
my doc is going to get peppered with
questions in two weeks. I'll let you know
what I "learn".
RichT
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Carrianne
Experienced User , Rather EHEALTHy
Joined: 09 Aug 2007 Posts: 107 Location: Tampa, FL
Posted: 11-09-07 08:48am
Good morning and Happy Friday! It took too
long to get here, but fortunately I've got
a Starbucks on my desk that will help me
through the morning. Speaking of coffee, I
read recently that coffee, being a
diuretic, is not great for those with
degenerative issues. Perhaps Fran, our
wonderful knowledge source, knows a little
about this. Does caffeine deplete your
spine of hydration?
Rich,
So glad your injection helped and I hope
your back feels even better this morning!
Do you experience pain in your tailbone?
Is that why they did the injection there?
I ask because I get pain in my tailbone
from sitting. It's nothing piercing, just
achy and annoying at times.
Hope you all have a great day! God bless!
Carrianne
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Carrianne
Experienced User , Rather EHEALTHy
Joined: 09 Aug 2007 Posts: 107 Location: Tampa, FL
Marie Posted: 11-09-07 08:50am
Best wishes to you today, Marie!!! We're
all thinking of and praying for you!! I'm
sure everything will go smoothly and
before you know it, you'll be updating us
on your new life free of pain!!!
God bless you today, and always!
Carrianne
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RichT
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Tailbone Posted: 11-09-07 11:32am
Hello Carrianne,
Glad you have your Starbucks. For my wife
and daughter that is a MUST!!!
Nope, no pain in my tailbone. I suspect
it just was the right way to get to
wherever the doc needed to go. One of my
questions for him in 2 weeks.
Have a SUPER Weekend!!!
RichT
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littleonefb
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Rich, Info On "cortisone" Injections Posted: 11-09-07 13:25pm
OK everyone, this question I turned over
to my daughter, the biology/chemistry
"genius" in the family. I figured she
would be the best one to answer the
questions since she has a BA in both and
will have an MS in both come May of this
year, as well as her BA and MS in
secondary education.
Her e-mail response is below:
Cortisone is a type of steroid that is
produced naturally by a gland in your body
called the adrenal gland. Cortisone is
released from the adrenal gland when your
body is under stress. Natural cortisone is
released into the blood stream and is
relatively short-acting.
Injectable cortisone is synthetically
produced and has many different trade
names (e.g. Celestone, Kenalog, etc.), but
is a close derivative of your body's own
product. The most significant differences
are that synthetic cortisone is not
injected into the blood stream, but into a
particular area of inflammation. Also, the
synthetic cortisone is designed to act
more potently and for a longer period of
time (days instead of minutes).
What is a "Steroid"?
According to the National Institute of
General Medical Sciences, the term
"steroid" is a chemical name for any
substance that has a characteristic
chemical structure consisting of multiple
chemical rings of connected atoms. Some
common examples of steroids are:
Vitamin D
cholestrol
estrogen
cortisone
Steroids are critical for keeping the body
running smoothly. Various steroids have
important roles in the body's reproductive
system and both the structure and function
of membranes
What are Corticosteroids?
Corticosteroids or glucocorticoids, often
just called "steroids", are drugs closely
related to cortisol, a hormone which is
naturally produced in the adrenal cortex
(the outer layer of the adrenal gland).
Corticosteroids act on the immune system
by blocking the production of substances
that trigger allergic and inflammatory
actions, such as prostaglandins.
Their are technical differences between
cortisone, corticosteroids, cortisol but
of and in itself, they are all one in the
same.
The biggest differences are the natural
occuring in the body that have a short
term anit-inflammatory and control affect
that is part of the fight or flight effect
in the body, vs the synthetically made,
which is used for medical purposes and has
a long acting affect on the body.
Synthetically or naturally made by the
body, cortisone is cortisone is cortisone.
It can be called cortisone,
corticosteroids, cortisol, they are
essentially one in the same.
Cortisone of all types is a strong
anti-inflammatory."
Rich, hope my daughter's info helped you
understand better that the docs use the
term "cortisone" correctly when referring
to steroid or cortisone injections.
I found this info on line about kenalog
riamcinolone (trade names Kenalog,
Aristocort, Nasacort, Tri-Nasal, Triderm,
Azmacort, Trilone, Volon A, Tristoject,
Fougera;) is a synthetic corticosteroid
given orally, by injection, inhalation, or
as a topical ointment or cream.
Fran
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littleonefb
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Carrianne Posted: 11-09-07 14:10pm
Carrianne
wrote:
Good morning and Happy
Friday! It took too long to get here, but
fortunately I've got a Starbucks on my
desk that will help me through the
morning. Speaking of coffee, I read
recently that coffee, being a diuretic, is
not great for those with degenerative
issues. Perhaps Fran, our wonderful
knowledge source, knows a little about
this. Does caffeine deplete your spine of
hydration?
Rich,
So glad your injection helped and I hope
your back feels even better this morning!
Do you experience pain in your tailbone?
Is that why they did the injection there?
I ask because I get pain in my tailbone
from sitting. It's nothing piercing, just
achy and annoying at times.
Hope you all have a great day! God bless!
Carrianne
Carrianne,
I couldn't really find any info on coffee
being a problem for those of us with spine
issues other than from some chiropractic
sites.
I take that info on those sites with a ton
of salt, not a grain of salt. Too many of
them claim to be able to cure major
diseases without any medical care or
drugs.
When I asked my ortho docs, the one I used
for my tendon problems with my arms, my
spine doc and the pain doc, they all said
that coffee was fine and not a problem.
Just remember to keep hydrated in the
summer.
Eye doc said the same thing about
hydration with the floater problem, but
that coffee, tea etc was fine to drink. I
would know that I was not getting enough
"fluid" no matter what time of year it
was, because the floaters would get worse
when I wasn't drinking enough.
They sure do and I have always been a big
water drinker anyways.
I know that there where reports in the new
over the past few weeks that drinking soda
was bad for bones, but that's a separate
issue from coffee.
In my own experience, after each of my ESI
injections and I was back in the
observation room, the nurses always asked
me if I would like something to eat and
drink. I was offered coffee from Dunkin'
Donuts, tea, hot cocoa, coke, juice to
drink, and toast, scrambled eggs to eat.
My ESI"s where done in the surgical center
that my docs have in the building that
their offices are in and the staff does
nothing their but out patient ortho and
various types of spinal injections. All
spinal surgeries are done in the
hospital.
Mine where done in March through May o
2006, but a friend of mine just had an ESI
done there 3 weeks ago and nothing has
changed.
So my thoughts are that coffee is safe to
drink with spine issues of all kinds.
Like you Carrianne, I can't live without
my coffee, several cups throughout the day
and evening; so much so that after my
surgery and I was able to drink more than
just some water, my best friend who was
with my hubby had a large coffee from
Dunkin Donuts waiting for me right by the
bed.
Talk about how to start a new day of no
pain in the leg, with a fresh cup of
brewed coffee.
Fran
|
RichT
Active User, Really EHEALTHy
Joined: 22 Jul 2007 Posts: 910
Thanks: 21
Thanked:0
Thank Your Daughter Posted: 11-09-07 19:33pm
Hello Fran,
So very nice of your daughter to provide
information on cortisone and the
synthesized derivatives of it used in
medicine.
How do I say this properly - The
derivatives do have the same basic
structure of cortisone, however, they do
have significant differences also. As one
small but significant difference the
chemical in Kenalog has a hydrogen atom
which was replaced with a floride atom.
There are other differences too. Those
differences provide a compound which has a
much longer life than the parent cortisone
produced in our bodies and I'm sure
provides a somewhat different
function/reaction. Being a stickler for
compound details it bothers me when
doctors use the term "cortisone injection"
when that is not true. To me doctors
should explain to the patient exactly what
he is going to inject and its purpose.
DON'T MISLEAD people. WE need to know
EXACTLY what medication the doctor is
giving to us. How else can we properly
check it out on the internet.
As an example, one very old insecticide
was DDT. And DDD was an "impurity" and
degradation product. This then followed a
degradation to DDE. All somewhat similar
in structure, but definitely different
compounds. A horse is not a mule, is not
a donkey.
I congratuate your daughter in pursuing an
MA in both chemistry and biology and
education. Truly amazing. I wish her the
very best. Back in my working days I was
a research chemist though not in the
pharmaceutical area.
Take care.
RichT
Moderator - Sorry for going off topic,
however, I do believe it is an important
issue.
